<!DOCTYPE html>
<html>
<head>
    <meta charset="utf-8">
    <title>添加患者</title>
    <meta name="renderer" content="webkit">
    <meta http-equiv="X-UA-Compatible" content="IE=edge,chrome=1">
    <meta name="viewport" content="width=device-width, initial-scale=1.0, minimum-scale=1.0, maximum-scale=1.0, user-scalable=0">
    <link rel="stylesheet" href="../../../layui/css/layui.css" media="all">
    <link rel="stylesheet" href="../../../layui/layuiAdmin/css/admin.css" media="all">
    <style>
        .st{
            width: 270px!important;
        }
        .layui-form-label{
            width: 120px!important;
        }
        .xinghao{
            color: red!important;
        }
    </style>
</head>
<body>

<!--表单-->
<div class="layui-form" lay-filter="layuiadmin-form-useradmin" id="layuiadmin-form-useradmin" style="padding: 20px 0 0 0;">
    <!--  手机号  -->
    <div class="layui-form-item">
        <label class="layui-form-label">手机号<span class="xinghao">*</span></label>
        <div class="layui-input-inline st">
            <input type="text" name="patientPhone" lay-verify="required|patientPhone" placeholder="请输入手机号" autocomplete="off" class="layui-input">
        </div>
    </div>
    <!--  姓名  -->
    <div class="layui-form-item">
        <label class="layui-form-label">姓名<span class="xinghao">*</span></label>
        <div class="layui-input-inline st">
            <input type="text" name="patientName" lay-verify="required" placeholder="请输入姓名" autocomplete="off" class="layui-input">
        </div>
    </div>
    <!--  性别  -->
    <div class="layui-form-item">
        <label class="layui-form-label">性别<span class="xinghao">*</span></label>
        <div class="layui-input-inline st">
            <select name="patientSex" lay-verify="required">
                <option value="">请选择</option>
                <option value="1">男</option>
                <option value="2">女</option>
            </select>
        </div>
    </div>
    <!--  出生年月日  -->
    <div class="layui-form-item">
        <label class="layui-form-label">出生年月日<span class="xinghao">*</span></label>
        <div class="layui-input-inline st">
            <input type="date" name="patientBirthdate" placeholder="出生年月" autocomplete="off" class="layui-input">
        </div>
    </div>
    <!--   发病年龄 -->
    <div class="layui-form-item">
        <label class="layui-form-label">发病年龄</label>
        <div class="layui-input-inline st">
            <input type="number" name="morbidityAge" placeholder="发病年龄" autocomplete="off" class="layui-input">
        </div>
    </div>
    <!--   现居住地 -->
    <div class="layui-form-item">
        <label class="layui-form-label">现居住地</label>
        <div class="layui-input-inline st">
            <select name="patientAddress" lay-verify="required">
                <option value="">请选择</option>
                <option value="北京">北京</option>
                <option value="上海">上海</option>
                <option value="广州">广州</option>
                <option value="深圳">深圳</option>
                <option value="杭州">杭州</option>
            </select>
        </div>
    </div>
    <!--  提交 -->
    <div class="layui-form-item layui-hide">
        <input type="button" lay-submit lay-filter="LAY-user-front-submit" id="LAY-user-front-submit" value="确认">
    </div>
</div>

<script src="../../../layui/layui.js"></script>
<script type="text/javascript">
    // 日期格式转换函数
    function formatDate(str) {
        if(str != null){
            var now = new Date(str);
            var year = now.getFullYear();  //取得4位数的年份
            var month = now.getMonth() + 1;  //取得日期中的月份，其中0表示1月，11表示12月
            var date = now.getDate();      //返回日期月份中的天数（1到31）
            var hours = now.getHours();
            var minutes = now.getMinutes();
            var seconds = now.getSeconds();
            return year + "-" + month + "-" + date +" "+hours+":"+minutes+":"+seconds;
        }
        return "";
    }
</script>
<script>
    layui.config({
        base: '../../../layui/layuiAdmin/' //静态资源所在路径
    }).extend({
        index: 'lib/index' //主入口模块
    }).use(['index', 'layer', 'form','layedit','laydate'], function(){
        var $ = layui.$
            ,form = layui.form
            ,layer = layui.layer
            ,laydate = layui.laydate
            ,layedit = layui.layedit;

        //常规用法
        laydate.render({
            elem: '#hiredate'
        });


        //创建一个编辑器
        var editIndex = layedit.build('LAY_demo_editor');
        //自定义验证规则
        // form.verify({
        //     username: function(value){
        //         // 限制用户名是3~16字符
        //         var reg = /^[a-zA-Z][a-zA-Z0-9_]{2,15}$/;
        //         if(!reg.test(value)){
        //             return '字母开头，允许3-16字符，允许字母数字下划线';
        //         }
        //     },
        //     patientPhone: function(value){
        //         // 限制手机号码
        //         var reg = /^(13[0-9]|14[5|7]|15[0|1|2|3|5|6|7|8|9]|17[0|1|2|3|5|6|7|8|9]|18[0|1|2|3|5|6|7|8|9]|19[0|1|2|3|5|6|7|8|9])\d{8}$/;
        //         if(!reg.test(value)){
        //             return '手机号码格式不正确';
        //         }
        //     },
        //     password: function(value){
        //         // 以字母开头，长度在6~18之间，只能包含字母、数字和下划线
        //         var reg = /^[a-zA-Z]\w{5,17}$/;
        //         if(!reg.test(value)){
        //             return '以字母开头，长度在6~18之间，只能包含字母、数字和下划线';
        //         }
        //     }
        //     ,content: function(value){
        //         layedit.sync(editIndex);
        //     }
        // });

    })
</script>
</body>
</html>